Department of Health Science, Kansai Medical University, Hirakata, Osaka, 573-1010, Japan.
Department of Surgery, Kansai Medical University, Hirakata, Osaka, 573-1010, Japan.
Surg Today. 2023 Aug;53(8):882-889. doi: 10.1007/s00595-023-02659-z. Epub 2023 Feb 15.
This study investigated the associations of personality traits and preoperative lifestyle improvements with early weight loss after sleeve gastrectomy.
This was a single-center, retrospective study of 57 patients who underwent preoperative lifestyle intervention with a multidisciplinary team approach based on cognitive behavioral therapy before sleeve gastrectomy. All patients underwent preoperative psychological testing with the Neuroticism-Extraversion-Openness Five-Factor Inventory (NEO-FFI) and the Tokyo University Egogram New Version II (TEG II). We investigated the associations of psychological testing results and lifestyle improvements with percent total weight loss (%TWL) one year after surgery.
The median %TWL at 1 year was 38.2% for patients with an improved lifestyle and 26.9% for those without improvement (P = 0.0008). Although TEG II factors were not associated with %TWL at 1 year, higher NEO-FFI extraversion (E) scores were significantly associated with a better %TWL at 1 year. The median %TWL at 1 year was 35.2% for patients with higher E scores and 25.4% for those with lower E scores (P = 0.0247). Lifestyle improvement and the NEO-FFI E score significantly influenced %TWL at 1 year based on a logistic regression analysis.
The NEO-FFI E score and preoperative lifestyle improvement may be predictors of early weight loss after sleeve gastrectomy.
本研究旨在探讨人格特质和术前生活方式改善与袖状胃切除术早期体重减轻的关系。
这是一项单中心、回顾性研究，共纳入 57 例患者，这些患者在接受袖状胃切除术之前，通过多学科团队合作的认知行为疗法进行了术前生活方式干预。所有患者均接受了术前心理测试，包括神经质-外向性-开放性五因素量表（NEO-FFI）和东京大学 Egogram 新版本 II（TEG II）。我们调查了心理测试结果和生活方式改善与术后 1 年总体重减轻百分比（%TWL）的关系。
生活方式改善患者的 1 年 %TWL 中位数为 38.2%，而生活方式未改善患者的 1 年 %TWL 中位数为 26.9%（P=0.0008）。尽管 TEG II 因子与 1 年 %TWL 无相关性，但 NEO-FFI 外向性（E）评分较高与 1 年 %TWL 更好显著相关。E 评分较高患者的 1 年 %TWL 中位数为 35.2%，而 E 评分较低患者的 1 年 %TWL 中位数为 25.4%（P=0.0247）。基于逻辑回归分析，生活方式改善和 NEO-FFI E 评分显著影响术后 1 年的 %TWL。
NEO-FFI E 评分和术前生活方式改善可能是袖状胃切除术早期体重减轻的预测因素。
